Shannon McElhone, LMHC

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Ana Castro, LMHC received a Master of Science in Mental Health Counseling from Queens College, City University of New York. She completed training at F.E.G.S and has worked in community mental health and outpatient hospital-based settings. Ana has 7 years of experience working with individuals as well as with children and families treating anxiety, depression, family and relationship issues, and other mental health issues. Ana uses methods from psychoanalysis, CBT, DBT, along with light supportive therapy in order to provide a person-centered approach. She began by working at New York Psychotherapy and Counseling Center, working with individuals, as well as children and families in a high-risk area, providing family therapy, psychodynamic and behavioral therapy, and assisting with the coordination of care with outside agencies. Ana has worked at St. Joseph's Outpatient Behavioral Health Clinic treating patients with various psychiatric illnesses. She has also worked at St. Vincent's- Westchester Outpatient Behavioral Health Clinic, providing intake, diagnosis, and individual therapy to a population ranging from adolescents to late adults. Ana continues to work towards expanding her knowledge of evidence-based approaches in order to provide the best outcomes.

Meredith LaFave, LCSW, has extensive clinical experience working with adults, couples, and families in private practice and clinic settings. She has specialized training in EMDR, contemplative psychotherapy, Integrative Wellness, and LGBTQIA+ affirming care. Meredith values creating a safe, collaborative space where patients feel supported, empowered, and encouraged to explore personal growth.

Meredith blends deep exploration and insight with practical, goal-oriented strategies. She fosters a warm, engaging environment that encourages patients to feel respected, challenged, and equipped to build self-efficacy and overall life satisfaction.

Meredith begins by building rapport and understanding what brings a patient to therapy. She explores historical and contextual information, collaborates on personalized treatment plans, and uses evidence-based approaches to guide patients toward meaningful change, resilience, and personal growth.

Brenda Keirns, LPC, NCC, is a Licensed Professional Counselor recognized by the National Board for Certified Counselors. She earned her Master’s degree in Clinical Counseling from Bellevue University and has extensive experience across inpatient, outpatient, and telehealth settings. Brenda is trained in EMDR through an EMDRIA-approved program and brings over six years of licensure experience. With a multicultural upbringing and more than 18 years as a military spouse, including Command Team involvement, she has a deep understanding of the unique challenges faced by diverse individuals and families. Brenda also serves as a Committee Member for Integratus, the academic journal of the Catholic Psychotherapy Association.

Brenda values open communication and creates a warm, non-judgmental environment where patients feel respected and supported. She tailors treatment to each patient’s unique needs and utilizes an eclectic, evidence-based approach drawing on CBT, EMDR, SFBT, REBT, DBT, attachment-based theory, trauma-informed care, and faith-based therapy rooted in Thomistic Psychology. Brenda helps patients address depression, anxiety, trauma, substance use, relational challenges, personality disorders, and life transitions.

Brenda partners with patients to develop practical coping tools while building on strengths and resilience. She emphasizes collaboration to ensure that patients actively shape their therapeutic goals. With a balance of compassion and clinical expertise, Brenda integrates evidence-based practices with individualized strategies to promote emotional well-being, personal growth, and improved daily functioning.

Sunny Bowers is a licensed professional clinical counselor (LPCC) based in Ohio. She holds an undergraduate Bachelor of Science in Human Development and Family Studies from Kent State University, complemented by a graduate degree in a Master of Arts in Education with a focus in Clinical Counseling from Malone University.‍With a rich professional background spanning over 10 years, Sunny has dedicated her expertise to working with diverse populations, including adults, first responders, and teenagers. Her scope of practice covers all phases of addiction, trauma, and mood disorders with a particular emphasis on addressing issues related to depression, anxiety, adjustment concerns, and relational difficulties.‍Sunny's therapeutic approach places a strong emphasis on the value of the therapeutic relationship. Recognizing the pivotal role of comfort and trust in the therapeutic process, she believes that lasting change is built on authentic exploration. Sunny employs several different therapeutic approaches, tailoring her methods to individual needs. Grounded in the development of insight and awareness, her overarching goal is to support empowerment and personal freedom for her clients.‍Sunny is enthusiastic about the prospect of working collaboratively with individuals seeking positive change and personal growth. If you're looking for a therapist who values authenticity and is dedicated to supporting your journey towards lasting change.

Grace is a LCSW, and LISW-CP licensed in Florida, North Carolina, and South Carolina. She holds a Bachelor of Science in Family and Consumer Sciences with a specialization in Nutrition from Solusi University in Zimbabwe and a Master of Social Work in Clinical Practice from Andrews University in Berrien Springs, MI. Grace has 20 years of experience providing mental health and psychotherapy services to diverse populations in various settings, including telehealth, outpatient care, residential programs for youth and adults, Assertive Community Treatment, foster care, inpatient units, intensive in-home services, and private practice. Her approach is individualized, solution-focused, holistic, and goal-oriented, emphasizing clients' strengths and fostering a positive, affirming perspective. Grace specializes in treating individuals facing anxiety, depression, trauma, low self-esteem, mood instability, anger, unresolved emotional challenges, relationship difficulties, and life transitions. She works with adults, couples, and families. Grace's therapeutic techniques include counseling for emotional and personal growth, fostering purpose and meaning, and empowering self-esteem. Grace draws on evidence-based practices tailored to each client's needs, including Trauma-Informed Care, CBT, Trauma-Focused CBT, Motivational Interviewing, Collaborative Problem Solving, Positive Behavior Support, and Family Systems approaches.